Qualm and scruple both are a feeling of doubt and hesitation but with some difference .
Qualm | Scruple |
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A qualm is the uneasiness about the fitness of an action . | A scruple is the uneasiness about the fitness of an action due to a moral or ethical reason that inhibits that action . |
There may be any reason which may lead to a qualm . | A scruple is the feeling particularly due to moral or ethical reason. |